Plastic and Reconstructive Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Plastic Surgery, Aakar Aesthetics, Nashik, Maharashtra, India.
BMJ Case Rep. 2023 Sep 26;16(9):e255583. doi: 10.1136/bcr-2023-255583.
A rubber band worn around a limb in an infant has the potential to cut through the tissues. The cutting potential of a rubber band is proportional to the strain within the band. A circumferential scar over the wrist with multiple discharging sinuses is the usual presentation. Such presentations should raise the suspicion of 'the rubber band syndrome'. A forgotten band migrates through the tissues and the skin epithelialises over it. As a result, continuity and function in the limb may be maintained, leading to misdiagnosis and wrong treatment. A high level of suspicion and treatment in the form of surgical removal and adequate debridement at first followed by formal reconstruction of deficits secondarily are required in the management of such patients.
婴儿四肢上所戴的橡皮圈有可能会勒割到组织。橡皮圈的切割能力与它的张力成正比。腕部环状疤痕并有多个窦道溢液是其常见的表现。这样的表现应引起对“橡皮圈综合征”的怀疑。遗忘的橡皮圈会在组织中迁移，皮肤会在其上愈合。结果，肢体的连续性和功能可能会得到维持，导致误诊和错误的治疗。对于这类患者，需要高度怀疑，并通过手术切除进行治疗，首先彻底清创，然后再进行二期的正规缺损重建。
